In 1874 his parents moved to Wilmington; there he worked in saw mills, lumber yards, with the cotton compresses and as a stevedore. He spent his nights studying under Prof. E. E. Green, now Dr. E. E. Green of Macon, Ga. January 3, through the assistance of his instructor, he entered Lincoln University, Pa., and was graduated June 18, 1887, receiving the degree of A. B.; October, the same year, he matriculated in Meharry Medical College, Nashville, Tenn., graduating with the degree of M. D. February 27, 1890. The same year the degree of A. M. was conferred on him by Lincoln University. While at Nashville he won the H. T. Noel gold medal for proficiency in operative surgery and dissecting. He arrived in Atlanta March, 1890, and began the practice of medicine. He was one of the organizers of the first drug store owned and operated by colored men in Georgia. It was known as Butler, Slater & Co. He was organizer and first president of the Empire State Medical Association of colored physicians. He was appointed surgeon of the Second Georgia Battalion, colored volunteers, in 1891, with rank of first lieutenant, by the Honorable W. J. Northern, then governor. May 5, 1893, he married Miss Salina May Sloan of Atlanta, a graduate of Spellman Seminary, who has been a most faithful, loving and helpful companion. He took a special course in the diseases of children in 1894 at the Harvard School of Medicine, Boston, Mass. In 1895, in the same school he took a special course in surgery. November 1, 1900, H. R. Butler, Jr. came, adding new blessings and happiness to his home and life. Dr. Butler is the first and so far the only colored man to be a regular contributor to the great Southern daily, _The Atlanta Constitution_. He has held that position since 1895. He was three years president of the Y. M. C. A. of colored men. He was four years physician and surgeon in charge at Spellman Seminary, and is now holding a similar position in Morris Brown College, and is organizing a nurse training department to that institution. He owns some valuable real-estate, besides a beautiful home on Auburn avenue. He has a large and lucrative practice. He is Grand Master of Masons of the Jurisdiction Georgia, is grand Medical Register of the Knights of Pythias. His life is truly full, every moment of his time is taken. The causes of excessive mortality among the colored people in Southern cities are _said_ to be _many_ and have been discussed from just as many points of view by students of the social status of this people.